Skip to main content
Log in

Nasal Middle Vault Support: A New Technique

  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

A novel technique for maintaining internal nasal valve anatomic and physiologic integrity at the time of hump reduction is proposed. The procedure involves mobilizing the anterior edge of the upper lateral cartilage after submucosal dissection. Reduction of the anterior border of the septal cartilage and reconstruction of the middle vault of the nose is accomplished by placing the upper lateral cartilage medial border on the reduced edge of the septum using a vest-over technique. The technique was successfully used for 32 nonconsecutive patients over a 4-year period.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5

Similar content being viewed by others

References

  1. JE Adamson (1987) ArticleTitleConstriction of the internal nasal valve in rhinoplasty: Treatment and prevention Ann Plast Surg 18 114 Occurrence Handle1:STN:280:BiiC1czgs1Y%3D Occurrence Handle3566099

    CAS  PubMed  Google Scholar 

  2. Anand, VK, Isaacs, R (1994) “Nasal physiology and treatment of turbinate disorders” In: Rees, TD, La-Trenta, GS, Stilwell, D (eds.), Aesthetic Plastic Surgery, Saunders, Philadelphia

  3. MB Constantian (1994) ArticleTitleThe incompetent external nasal valve: Pathophysiology and treatment in primary and secondary rhinoplasty Plast Reconstr Surg 93 919 Occurrence Handle1:STN:280:ByuC1c7mvVA%3D Occurrence Handle8134484

    CAS  PubMed  Google Scholar 

  4. MB Constantian RB Clardy (1996) ArticleTitleThe relative importance of septal and nasal valvular surgery in correcting airway obstruction in primary and secondary rhinoplasty Plast Reconstr 98 38 Occurrence Handle10.1097/00006534-199607000-00007 Occurrence Handle1:STN:280:BymB283gsl0%3D

    Article  CAS  Google Scholar 

  5. RL Goode (1985) ArticleTitleSurgery of the incompetent nasal valve Laryngoscope 95 546 Occurrence Handle1:STN:280:BiqC1cjivFw%3D Occurrence Handle3887077

    CAS  PubMed  Google Scholar 

  6. JP Gunter RJ Rohrich (1987) ArticleTitleThe external approach for secondary rhinoplasty Plast Reconstr Surg 80 161 Occurrence Handle1:STN:280:BiiB287ksVE%3D Occurrence Handle3602167

    CAS  PubMed  Google Scholar 

  7. J Ischida LC Eshida LH Ishida JCR Vieira MC Ferreira (1999) ArticleTitleTreatment of the nasal hump with preservation of the cartilaginous framework Plast Reconstr Surg 103 1729 Occurrence Handle10323714

    PubMed  Google Scholar 

  8. M Karen E Chang MS Keen (2000) ArticleTitleAuricular composite grafting to repair nasal vestibular stenosis Otolaryngol Head Neck Surg 122 529 Occurrence Handle1:STN:280:DC%2BD3c3gs1yqtA%3D%3D Occurrence Handle10740172

    CAS  PubMed  Google Scholar 

  9. CP Kimmelman (1989) ArticleTitleThe problem of nasal obstruction Otolaryngol Clin North Am 22 263

    Google Scholar 

  10. SS Park (1998) ArticleTitleThe flaring suture to augment the repair of the dysfunctional nasal valve Plast Reconstr Surg 101 1120 Occurrence Handle1:STN:280:DyaK1c7ntlartg%3D%3D Occurrence Handle9514349

    CAS  PubMed  Google Scholar 

  11. RJ Rohrich (1999) ArticleTitleDiscussion on treatment of the nasal hump with preservation of the cartilaginous framework Plast Reconstr Surg 103 1734

    Google Scholar 

  12. JH Sheen (1984) ArticleTitleSpreader graft: A method of reconstructing the roof of the middle nasal vault following rhinoplasty Plast Reconstr Surg 73 230 Occurrence Handle1:STN:280:BiuC3MbptVY%3D Occurrence Handle6695022

    CAS  PubMed  Google Scholar 

  13. JH Sheen (1989) ArticleTitleSpreader graft revisited Perspect Plast Surg 3 155

    Google Scholar 

  14. FJ Stucker DK Hoasjoe (1994) ArticleTitleNasal reconstruction with conchal cartilage: Correcting valve and lateral nasal collapse Arch Otolaryngol Head Neck Surf 120 653 Occurrence Handle1:STN:280:ByuB2Mjit1Y%3D

    CAS  Google Scholar 

  15. PU Sullivan M Varma AA Rozelle (1996) ArticleTitleOptimizing bone-graft nasal reconstruction: A study of nasal shape and thickness Plast Reconstr Surg 97 327 Occurrence Handle1:STN:280:BymC2MvitVM%3D Occurrence Handle8559815

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. S. Fayman M.D..

Rights and permissions

Reprints and permissions

About this article

Cite this article

Fayman, M.S., Potgieter, E. Nasal Middle Vault Support: A New Technique. Aesth Plast Surg 28, 375–380 (2004). https://doi.org/10.1007/s00266-004-4031-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00266-004-4031-4

Keywords

Navigation